1 00:00:35,92 --> 00:00:38,02 Hello and welcome to health point T.V. 2 00:00:38,37 --> 00:00:43,02 I'm Dr Michael Wood chief medical officer at MIL's Peninsula health services we're 3 00:00:43,03 --> 00:00:47,30 here at the new medical center in Burlingame in today's show we're going to talk 4 00:00:47,31 --> 00:00:51,01 about a subject that has been recognized over the past decade as being 5 00:00:51,02 --> 00:00:56,62 a major public health problem obesity in the United States has increased such to 6 00:00:56,63 --> 00:01:03,22 two thirds of the adult population is either overweight or obese obesity can be 7 00:01:03,23 --> 00:01:08,10 a serious health threat and put people at risk for other associated conditions such 8 00:01:08,11 --> 00:01:14,98 as high blood pressure stroke coronary artery disease type two diabetes 9 00:01:15,40 --> 00:01:21,07 certain types of cancer and even premature death at MIL's Peninsula Medical Center 10 00:01:21,24 --> 00:01:24,71 we offer weight loss surgery for some people this can be 11 00:01:24,72 --> 00:01:30,20 a life changing choice in fact Mills Peninsula has been recognized as 12 00:01:30,21 --> 00:01:35,89 a center of excellence for weight loss also known as Barry Actrix surgery weight 13 00:01:35,90 --> 00:01:42,30 loss surgery is safe and effective. Most patients lose ten to fifteen pounds per 14 00:01:42,31 --> 00:01:48,15 month for the first year three quarters of our patients meet or exceed their goals 15 00:01:48,19 --> 00:01:52,51 within the first two years in this episode of Health point T.V. 16 00:01:52,92 --> 00:01:56,36 We will meet our weight loss surgery experts as well as talk with 17 00:01:56,37 --> 00:02:01,36 a patient who said that the surgery gave him back his life also we will be giving 18 00:02:01,37 --> 00:02:01,51 you 19 00:02:01,55 --> 00:02:07,33 a behind the scenes tour of our new operating rooms. Show you how we even gentle exercises 20 00:02:07,46 --> 00:02:07,86 can make 21 00:02:07,87 --> 00:02:14,72 a very big difference and we'll be talking about diabetes and nutrition. We're 22 00:02:14,73 --> 00:02:17,44 living in an exciting time for the treatment of obesity 23 00:02:17,94 --> 00:02:21,53 a big step has been taken in the understanding of the underlying cause of many 24 00:02:21,54 --> 00:02:26,29 health problems as access weight weight loss surgery is an important tool that 25 00:02:26,30 --> 00:02:32,22 doctors use to help treat these problems. Are typical surgery candidate is about 26 00:02:32,23 --> 00:02:37,71 eighty to one hundred pounds or more overweight there between the ages of eighteen 27 00:02:37,96 --> 00:02:42,47 and sixty. Many of our patients have weighed the weight of health problems 28 00:02:42,73 --> 00:02:48,26 including Type two or adult onset diabetes gastro softball chill reflux or bad 29 00:02:48,27 --> 00:02:55,15 heartburn. Hypertension sometimes on many medications asthma and obstructive 30 00:02:55,16 --> 00:03:00,57 sleep apnea laparoscopic gastric bypass their names are gold standard it's the most 31 00:03:00,58 --> 00:03:01,50 commonly performed 32 00:03:01,51 --> 00:03:05,88 a weight loss surgery operation in the United States and in the practice it has 33 00:03:05,89 --> 00:03:09,38 a number of features that help people lose weight and keep the weight off long term 34 00:03:09,97 --> 00:03:14,63 most importantly we surgically make this time my first small to help you feel full 35 00:03:14,64 --> 00:03:14,79 with 36 00:03:14,80 --> 00:03:20,58 a small meal in addition there are some short term malabsorption that limits the 37 00:03:20,59 --> 00:03:24,89 nutrients that are absorbed to help people sustain the weight loss and keep that 38 00:03:24,90 --> 00:03:29,33 weight off long term there are other types of weight loss surgery including the 39 00:03:29,34 --> 00:03:33,48 laparoscopic adjustable gastric band and the laparoscopic vertical sleeve 40 00:03:33,49 --> 00:03:38,71 gastrectomy these operations result in less weight loss than the gastric bypass but 41 00:03:38,72 --> 00:03:42,42 the procedures are less complex we also perform and 42 00:03:42,43 --> 00:03:47,43 a scopic surgery where there are no incisions on the outside of the body this is 43 00:03:47,44 --> 00:03:51,60 a surgical development area which we are excited to bring that sort of innovation 44 00:03:51,61 --> 00:03:56,86 to our patients are surgical practice focuses on the medical benefits of weight 45 00:03:56,87 --> 00:04:02,42 loss surgery share patients are excited they fit into smaller closer they get 46 00:04:02,43 --> 00:04:06,83 a lot of attention for the weight loss. Really want to focus on the health benefits 47 00:04:07,48 --> 00:04:12,35 some of the most dramatic ourselves with type two diabetes or adult onset diabetes 48 00:04:13,01 --> 00:04:16,41 after gastric bypass many of our patients don't even need their diabetes 49 00:04:16,42 --> 00:04:21,20 medications anymore the ongoing weight loss and maintenance of the weight loss will 50 00:04:21,21 --> 00:04:25,44 help keep the diabetes from coming back for the long term another significant 51 00:04:25,45 --> 00:04:28,87 benefit of weight loss after weight loss surgery is regarding fertility and 52 00:04:28,88 --> 00:04:33,11 childbirth the extra weight decreases fertility and increases the risk of 53 00:04:33,12 --> 00:04:39,18 miscarriage significant weight loss can make your pregnancy easier and safer as you 54 00:04:39,19 --> 00:04:43,54 can tell our emphasis is on long term results and helping people be successful with 55 00:04:43,55 --> 00:04:49,18 their weight loss. I had my surgery just a little over 56 00:04:49,19 --> 00:04:53,80 a year ago I've lost one hundred pounds and I feel confident that I'll be able to 57 00:04:53,81 --> 00:04:55,27 keep the thought I'm 58 00:04:55,28 --> 00:04:59,59 a black and white headed person like an all or nothing I'm like 59 00:04:59,60 --> 00:05:04,64 a decision maker it was something I want to do I'm going to do it and I did my 60 00:05:04,65 --> 00:05:11,63 experience with Dr Vetter was. Absolutely wonderful including him 61 00:05:11,67 --> 00:05:17,83 and his staff warm while supporter did anything that they could to make me 62 00:05:17,84 --> 00:05:21,92 understand what I would be going through they made sure that I met with 63 00:05:21,97 --> 00:05:26,61 a psychiatry has met with a nutritionist and they offer a support group once 64 00:05:26,62 --> 00:05:32,25 a month that everyone has either gone through the surgeries or is considering them 65 00:05:32,26 --> 00:05:34,44 attend the support group is 66 00:05:34,50 --> 00:05:40,84 a safe place to go to and either ask questions about the different surgeries talk 67 00:05:40,85 --> 00:05:44,80 to different people who have had the surgeries and their outcomes and challenge is 68 00:05:45,12 --> 00:05:51,51 whether the challenges be eating physical exercise or health problems honestly this 69 00:05:51,52 --> 00:05:51,94 is just 70 00:05:51,95 --> 00:05:57,10 a tool doesn't magically just come off had to change right eating habits three 71 00:05:57,11 --> 00:06:01,08 meals a day high protein no snacking 72 00:06:01,60 --> 00:06:05,71 a lot of it is also giving feedback of what does work to. You stay within the 73 00:06:06,57 --> 00:06:12,26 guidelines you know your new eating habits I had tried Jenny Craig lost twenty five 74 00:06:12,27 --> 00:06:18,86 pounds I kept that off but having so much more weight to go I knew myself that I 75 00:06:18,87 --> 00:06:22,78 was lazy I wouldn't take the time to lose that hundred pounds I needed to to have 76 00:06:22,79 --> 00:06:29,32 the quality of life to be there for my daughter and this for me was the tool that I 77 00:06:29,33 --> 00:06:32,62 felt would help me so I wish it would have been that easy without having to have 78 00:06:32,63 --> 00:06:38,27 surgery for me but it wasn't my dad sides heavy and part of that for me was seen 79 00:06:38,32 --> 00:06:44,39 the difficulties that they have. And not wanting health problems myself as I got 80 00:06:44,40 --> 00:06:45,73 older that were 81 00:06:45,74 --> 00:06:52,69 a possibility. But my dad he's almost eighty and he. Mentally 82 00:06:53,00 --> 00:06:58,07 you know sixty or whatever but he walks in the cane and he's overweight. And I can 83 00:06:58,08 --> 00:07:01,78 only wish I could say to everybody and his side of the family. This is 84 00:07:01,79 --> 00:07:08,68 a great tool. I feel that I finally. Feel and look how I have always felt inside. 85 00:07:14,08 --> 00:07:14,86 Would be considered 86 00:07:14,87 --> 00:07:21,26 a weight management. For individual we consider three issues the amount of food 87 00:07:21,76 --> 00:07:27,27 that the individual consumes the type of food that they consume what is high 88 00:07:27,28 --> 00:07:34,15 caloric sugars or protein fibers and so on and lastly how often the patient 89 00:07:34,16 --> 00:07:39,65 eats. And then we can put everything together into a package into 90 00:07:39,66 --> 00:07:46,02 a comprehensive program so we can be successful in treating that surgery address is 91 00:07:46,22 --> 00:07:51,50 the amount of food it allows the patient to feel satisfied with 92 00:07:51,51 --> 00:07:58,09 a small amount of food by all train or reshape in the stomach Fortunately for the 93 00:07:58,10 --> 00:08:03,27 individual we can now address the surgical issues through minimally invasive 94 00:08:03,28 --> 00:08:09,06 techniques we have miniature eyes cameras instruments that can be introduced into 95 00:08:09,07 --> 00:08:14,23 the abdomen and perform all the surgical techniques through this tiny incisions 96 00:08:14,55 --> 00:08:19,50 there for the recovery and the return back to normal activities that in the visual 97 00:08:20,18 --> 00:08:25,42 has been shortened and see the simplest of the surgical technique is the adjustable 98 00:08:25,43 --> 00:08:31,57 band once we can visualize the insides we look for the top of the stomach to one of 99 00:08:31,58 --> 00:08:34,57 the incisions we could and I just will bang is like 100 00:08:34,58 --> 00:08:38,69 a collar band they go to the top of the stomach it is connected to 101 00:08:38,70 --> 00:08:45,38 a reservoir where one later on we can put fluid to adjust the size of the opening 102 00:08:45,83 --> 00:08:51,03 by the top of the stomach. This allows the food to be laid at the top of the 103 00:08:51,04 --> 00:08:55,61 stomach and make you feel satisfied with a smaller amount of food 104 00:08:56,50 --> 00:09:02,89 a more aggressive procedure is the rule on why gastric bypass this operation again 105 00:09:02,90 --> 00:09:08,68 can be done in the open or laparoscopic or minimally invasive fashion we will see 106 00:09:08,69 --> 00:09:14,85 the instruments go in to allow the surgeon to see the inside of the abdomen. We 107 00:09:14,86 --> 00:09:17,89 find the top of the stomach and divide it into this is 108 00:09:17,90 --> 00:09:21,55 a permanent division it allows for 109 00:09:21,56 --> 00:09:27,22 a small reservoir of stomach at the top so when the patient eats he feels satisfied 110 00:09:27,51 --> 00:09:34,44 very rapidly. Then the small bowel gets divided by the down and reconnected 111 00:09:34,45 --> 00:09:39,58 at the top to allow the food stream to go to the small bottle we did that gesture 112 00:09:39,59 --> 00:09:46,43 in an upset option of the food gets carried. I was fifty years old 113 00:09:46,44 --> 00:09:50,19 and tipping the scales at three hundred fifteen pounds because of my weight I'd 114 00:09:50,20 --> 00:09:52,65 been diagnosed with sleep apnea I had 115 00:09:52,66 --> 00:09:58,06 a herniated disc I had diabetes and my asthma was continuing to get worse and no 116 00:09:58,07 --> 00:10:02,86 matter what I've tried it didn't seem to do any good so I had to go to the physical 117 00:10:02,87 --> 00:10:07,80 weight loss clinic and Dr Robert better and get professional help my surgical 118 00:10:07,81 --> 00:10:10,14 experience was like 119 00:10:10,15 --> 00:10:13,00 a holiday when I checked into the hospital is like checking into 120 00:10:13,01 --> 00:10:16,56 a resort they answered all of my questions to the one I was actually laid down on 121 00:10:16,57 --> 00:10:22,29 the gurney and put into the surgical room as relaxed ready to go took 122 00:10:22,30 --> 00:10:27,94 a little nap work up next thing I knew I was in recovery by Sunday I was home for 123 00:10:27,95 --> 00:10:32,65 a barbecue recovery I was just as nervous about recovery as I was the operation 124 00:10:32,66 --> 00:10:39,22 itself I followed my doctor's directions I exercised hard I didn't overeat and 125 00:10:39,27 --> 00:10:40,79 eighteen months I'd lost 126 00:10:40,80 --> 00:10:44,92 a third of my body weight had gone from three hundred fifteen pounds to just about 127 00:10:44,93 --> 00:10:51,84 two hundred pounds losing the weight was great but my health afterwards well I'm 128 00:10:51,85 --> 00:10:53,99 able to donate blood because my diabetes is not 129 00:10:53,100 --> 00:10:58,07 a factor in my life anymore I don't have to worry about my herniated disc I don't 130 00:10:58,08 --> 00:11:02,36 even know that I have it because my back does not hurt when I walk my asthma I 131 00:11:02,37 --> 00:11:09,36 haven't used my asthma medication for the last five years. For me where 132 00:11:09,37 --> 00:11:14,37 loss surgery was the answer to my problems I'm no longer chasing rainbows I'm no 133 00:11:14,38 --> 00:11:19,01 longer on yo yo diets and exercise plans I can live my own life. 134 00:11:22,17 --> 00:11:24,29 With any weight loss program exercise is 135 00:11:24,30 --> 00:11:29,29 a vital component people who are overweight or I've had recent surgery to. Take it 136 00:11:29,30 --> 00:11:34,13 slowly in the beginning an excellent way to do that is with exercise bands like 137 00:11:34,14 --> 00:11:38,23 these Let me show you feel exercises the first exercise is 138 00:11:38,24 --> 00:11:40,62 a chest press wrap the band around 139 00:11:40,63 --> 00:11:45,75 a sturdy object behind you and hold handles in each hand beginning the movement 140 00:11:45,79 --> 00:11:50,53 elbows bent and arms parallel to the ground squeeze the chest and press the arms 141 00:11:50,54 --> 00:11:54,97 out without locking elbows Return to start and repeat use 142 00:11:54,98 --> 00:12:01,81 a medium to heavy band. Next I'll show you the row. Wrap the band around 143 00:12:01,82 --> 00:12:07,60 a sturdy object in front of you arms extended palms facing each other squeeze the 144 00:12:07,61 --> 00:12:13,27 back to pull the elbows and just past the torso keeping them close to the body 145 00:12:13,94 --> 00:12:16,08 release and repeat use 146 00:12:16,09 --> 00:12:22,00 a medium to heavy band. These exercises can also be done seated 147 00:12:22,94 --> 00:12:27,88 exercise bands are really useful for many reasons First they don't take up much 148 00:12:27,89 --> 00:12:33,49 space you can easily store them in your closet thing crease coordination because 149 00:12:33,50 --> 00:12:38,19 there is tension throughout the exercises and you have to stabilize your body. They 150 00:12:38,20 --> 00:12:38,29 are 151 00:12:38,30 --> 00:12:43,61 a variety with weights are often limited as to how many exercises you can do but the 152 00:12:43,62 --> 00:12:48,66 resistance band allows you to change your positioning in multiple ways this changes 153 00:12:48,67 --> 00:12:54,09 how your body works and how an exercise feels they're inexpensive They range from 154 00:12:54,10 --> 00:12:58,29 anywhere from five to twenty dollars and you can find any discount department store 155 00:12:58,50 --> 00:13:03,25 or sporting goods store. Here's a few tips for buying bands by 156 00:13:03,26 --> 00:13:08,19 a variety of bands most bands are color coded according to tension level light 157 00:13:08,23 --> 00:13:13,77 medium heavy very heavy it's best to have at least three light medium and heavy 158 00:13:13,78 --> 00:13:18,63 since different muscle groups require different levels of resistance if you've 159 00:13:18,64 --> 00:13:21,31 never used exercise or this could be 160 00:13:21,32 --> 00:13:27,45 a whole new way of working together to try. Weight loss surgery is 161 00:13:27,46 --> 00:13:31,05 a tool. We prepare our patients with 162 00:13:31,06 --> 00:13:35,20 a variety of classes support groups and several appointments with their physicians 163 00:13:35,56 --> 00:13:40,49 so we can really ready them for the procedure and what lies afterwards lifestyle 164 00:13:40,50 --> 00:13:45,70 changes are imperative and not just exercise and dietary changes we don't want our 165 00:13:45,71 --> 00:13:47,45 patients to look at this is a diet with 166 00:13:47,46 --> 00:13:53,19 a beginning middle and end lifestyle changes that will affect them forever three 167 00:13:53,20 --> 00:13:53,55 meals 168 00:13:53,56 --> 00:14:00,40 a day protein based foods lots of liquids and the avoidance of starchy foods we'd 169 00:14:00,41 --> 00:14:05,62 like our patients to recognize that their relationship with food changes in order 170 00:14:05,63 --> 00:14:12,58 to be successful. If you are used to eating when you're nervous or for good or 171 00:14:12,59 --> 00:14:15,32 for reward that type of eating has no place in 172 00:14:15,33 --> 00:14:20,92 a successful lifestyle change support group affords patients an opportunity to 173 00:14:20,93 --> 00:14:25,92 share what they're going through and hear what others are experiencing they can 174 00:14:25,93 --> 00:14:30,26 share challenges for example during the holidays they will share with each other 175 00:14:30,51 --> 00:14:34,21 how they deal with family gatherings and that sort of thing or they share their 176 00:14:34,22 --> 00:14:39,26 successes common successes the first flight on an airplane without having to use an 177 00:14:39,27 --> 00:14:44,93 extension seatbelt I think probably the most important and significant success is 178 00:14:44,94 --> 00:14:45,05 when 179 00:14:45,06 --> 00:14:49,45 a patient shares that they have discontinued their diabetes medication currently 180 00:14:49,49 --> 00:14:51,71 obesity surgery candidates have a B.M.I. 181 00:14:51,72 --> 00:14:55,87 Between thirty five and forty recently the F.D.A. 182 00:14:56,23 --> 00:14:59,60 Recommended that a thirty to thirty five B.M.I. 183 00:14:59,89 --> 00:15:02,72 Could be indicated for lap band this is 184 00:15:02,73 --> 00:15:06,31 a development we're very excited about because it may mean that we can offer 185 00:15:06,32 --> 00:15:12,32 obesity surgery to more people in the future. At most peninsula we recognize the 186 00:15:12,33 --> 00:15:17,23 commitment that our patients make when choosing weight loss surgery we want our 187 00:15:17,24 --> 00:15:20,67 patients to know that we're here to support you so you can be successful in your 188 00:15:20,68 --> 00:15:27,07 weight loss journey we met at Nutrisystem what twenty six years ago so 189 00:15:27,42 --> 00:15:34,17 when when asked. You know why we chose variadic intervention we simply had 190 00:15:34,18 --> 00:15:41,10 tried everything else my way. Prior to surgery the night before I 191 00:15:41,11 --> 00:15:47,88 went in on. December first over two thousand and nine was I say it was 192 00:15:47,89 --> 00:15:54,15 two hundred nine you know if I didn't go over three hundred but right up there for 193 00:15:54,38 --> 00:15:55,65 him right now my weight is 194 00:15:55,66 --> 00:16:02,02 a hundred eighty five pounds. Healthy my cardiologist that couldn't be happier my 195 00:16:02,41 --> 00:16:08,22 hypertension has completely dissipated my sleep apnea that's completely disappeared 196 00:16:08,26 --> 00:16:13,11 and in two thousand and eight my husband Richard underwent very Actrix surgery and 197 00:16:13,15 --> 00:16:19,02 as I watched his progress and success over the ensuing year I made the decision 198 00:16:19,03 --> 00:16:24,53 that I too had drawn the line against obesity my brother and my mother both had 199 00:16:24,54 --> 00:16:30,83 surgery and that they were. You know. They were more than three hundred with the 200 00:16:30,84 --> 00:16:37,61 help that do I need to be before I go and the first month I lost about twenty five 201 00:16:37,62 --> 00:16:42,73 pounds the next several months I lost ten to twelve pounds per month until I 202 00:16:42,74 --> 00:16:47,10 reached my final loss of eighty five pounds and I believe that was about seven 203 00:16:47,11 --> 00:16:50,96 months altogether as when I hit that mark nobody beats me because I'm 204 00:16:50,97 --> 00:16:55,09 a guy you get it you're going to have to kill me to stop and I realized that our. 205 00:16:56,71 --> 00:17:02,71 This weight problem was beating me I was tired of being tired tired of being 206 00:17:02,72 --> 00:17:07,75 overweight tired and needy and back again it has made 207 00:17:07,76 --> 00:17:12,77 a tremendous impact in my life I am so invigorated I am able to keep up with my 208 00:17:12,78 --> 00:17:18,24 kids and my new grandchild and I think that is the best choice I have ever made my 209 00:17:18,25 --> 00:17:24,45 life was to have this surgery this is truly life saving and especially in my 210 00:17:24,46 --> 00:17:30,02 husband's case on November first of two thousand. And nine he suffered 211 00:17:30,03 --> 00:17:35,67 a cardiac arrest Mind you this was after his weight loss surgery he was in great 212 00:17:35,71 --> 00:17:41,41 physical condition however he had an undiagnosed electrical problem with his heart 213 00:17:41,42 --> 00:17:46,49 that we were not aware of and he actually arrested here in our home and died 214 00:17:47,29 --> 00:17:53,34 Fortunately I was with him and I was able to call nine one one and they arrived 215 00:17:53,35 --> 00:17:54,49 within I think two and 216 00:17:54,50 --> 00:17:59,63 a half minutes while I worked on him in the meantime as he was put in 217 00:17:59,64 --> 00:18:05,06 a hypothermic coma at the hospital to preserve what they didn't know what was left 218 00:18:05,07 --> 00:18:09,38 of his brain most people don't even survive the sort of thing that's referred to as 219 00:18:09,39 --> 00:18:15,60 sudden death. As the months went by and the cardiologist the fireman and the 220 00:18:15,61 --> 00:18:19,00 paramedics met with us in fact Richard with invited to attend 221 00:18:19,01 --> 00:18:25,95 a convention and he's the only survivor. Unanimously told us that had 222 00:18:25,96 --> 00:18:31,45 Richard not lost that one hundred fifteen pounds he most likely would not have been 223 00:18:31,68 --> 00:18:36,19 able to have been resuscitated he wouldn't be here today and I looked at my 224 00:18:36,20 --> 00:18:41,81 children or my wife and I knew that they were more important to me than anything 225 00:18:41,82 --> 00:18:46,88 else more important than any slice of pizza or that extra scoop of ice cream or 226 00:18:46,89 --> 00:18:50,76 whatever it was and I was willing to make the changes I want to live. 227 00:18:57,31 --> 00:19:02,23 The numbers are staggering twenty four million people in the United States have 228 00:19:02,24 --> 00:19:04,71 diabetes what's more alarming is 229 00:19:04,72 --> 00:19:09,76 a quarter of them don't even know that they have it diabetes is the seventh leading 230 00:19:09,77 --> 00:19:16,32 cause of death in the United States pre-diabetes or insulin resistance is very 231 00:19:16,49 --> 00:19:22,43 prominent as well fifty seven million people in the United States have pre-diabetes 232 00:19:22,96 --> 00:19:29,74 the good news is diabetes is controllable and pre-diabetes or insulin resistance is 233 00:19:29,75 --> 00:19:32,87 often reversible and completely controllable with 234 00:19:32,88 --> 00:19:39,21 a few minor changes in your lifestyle and diet. This is a model of 235 00:19:39,22 --> 00:19:45,08 a human cell this might represent blood glucose we get blood glucose from 236 00:19:45,09 --> 00:19:51,01 carbohydrates fifty percent of our diet should be carbohydrates this represents 237 00:19:51,02 --> 00:19:54,64 insulin our pancreas makes one in 238 00:19:54,65 --> 00:20:01,04 a normal healthy situation when there is glucose and insulin the cell opens up 239 00:20:01,49 --> 00:20:06,11 to allow our body to use the good coast for energy. 240 00:20:08,94 --> 00:20:11,14 With type two diabetes it's 241 00:20:11,15 --> 00:20:16,71 a little more complicated our cells are there ready to accept the glucose for 242 00:20:16,72 --> 00:20:23,06 energy we have the glucose from the food that we eat and then type two diabetes our 243 00:20:23,07 --> 00:20:29,65 pancreas is producing insulin The problem is ourselves become resistant to 244 00:20:29,66 --> 00:20:33,35 allowing that combination to enter. As 245 00:20:33,36 --> 00:20:39,23 a result the glucose becomes more prevalent in our blood stream 246 00:20:40,14 --> 00:20:45,99 this represents how blood sugar or blood glucose travels in our blood stream under 247 00:20:46,00 --> 00:20:52,36 a normal healthy situation it travels really freely and liquidy. When our blood 248 00:20:52,37 --> 00:20:56,69 sugar becomes elevated because it can't get into the cells for energy it becomes 249 00:20:56,70 --> 00:21:02,76 sluggish and syrupy the serve and thickness is what causes all the complications 250 00:21:02,77 --> 00:21:09,62 with diabetes the number one tool to prevent diabetes is you guessed it exercise 251 00:21:10,04 --> 00:21:14,88 more potent than any pill that we have available on the market now you don't have 252 00:21:14,89 --> 00:21:17,42 to go to the gym and work out hours at 253 00:21:17,43 --> 00:21:23,07 a time to change your blood chemistry what we know is it's just one hundred fifty 254 00:21:23,08 --> 00:21:26,14 minutes a week do you have twenty one minutes 255 00:21:26,15 --> 00:21:31,89 a day to prevent diabetes that's all it takes put your shoes on and start walking 256 00:21:32,29 --> 00:21:37,21 there are also very simple changes that you can make in your diet that will help 257 00:21:37,22 --> 00:21:43,41 tremendously Americans consume far too many refined carbohydrates and sugars 258 00:21:43,93 --> 00:21:50,86 often our meals consist of why bread refined cereals candy and white 259 00:21:50,87 --> 00:21:53,94 pasta. We're also drinking 260 00:21:53,98 --> 00:21:58,66 a lot of our calories and the problem with that is they don't even make us feel 261 00:21:58,67 --> 00:22:02,99 full but there are jammed was sugar and calories there is 262 00:22:03,00 --> 00:22:09,15 a better way including more produce in your diet will improve it immensely look at 263 00:22:09,16 --> 00:22:15,77 the colorful Browny of fruits and vegetables fresh fruits or frozen vegetables 264 00:22:15,78 --> 00:22:21,64 fresh or frozen whole grain breads brown rice keen Why are all going to add 265 00:22:21,65 --> 00:22:25,08 a lot of nutrition and maybe even more importantly 266 00:22:25,25 --> 00:22:31,86 a lot of fiber the benefit of fiber is that it makes you feel full Consequently you 267 00:22:31,87 --> 00:22:38,25 eat less calories but still feel satisfied include more brightly colored fruits and 268 00:22:38,26 --> 00:22:44,19 vegetables in your diet one more tip eat more of your meals at home over fifty 269 00:22:44,20 --> 00:22:49,67 percent of our food dollar is spent away from home giving us to larger portions 270 00:22:49,76 --> 00:22:56,37 diets that are high in transit and saturated fats and too much sodium I know it's 271 00:22:56,38 --> 00:22:59,70 hard at the end of the day to think about going home and preparing 272 00:22:59,71 --> 00:23:04,27 a meal but remember Simple is better let's take a look at 273 00:23:04,28 --> 00:23:11,03 a sample I use this says the plate method it's very easy to come home and throw 274 00:23:11,04 --> 00:23:15,71 a couple different colors of vegetables in the microwave cover half of your plate 275 00:23:15,72 --> 00:23:21,08 with those add to it a small amount of lean protein about the size of 276 00:23:21,09 --> 00:23:27,60 a deck of cards enjoy chicken fish pork growing in smaller 277 00:23:27,61 --> 00:23:30,85 portions and then a quarter of your plate is 278 00:23:30,86 --> 00:23:37,42 a whole grain lots of great choices to choose from whole grain processed brown rice 279 00:23:37,54 --> 00:23:44,09 keen was sweet potatoes take your pick. Add to it some fruit like an apple or 280 00:23:44,10 --> 00:23:49,06 frozen berries for dessert some milk for calcium and you have 281 00:23:49,07 --> 00:23:54,86 a great complete satisfying meal so remember if you want to try and prevent 282 00:23:54,87 --> 00:24:01,38 diabetes or just improve your health small changes in diet and exercise can really 283 00:24:01,39 --> 00:24:08,26 produce big rewards. One of the ways that we've made operations even safer 284 00:24:08,27 --> 00:24:13,26 and less invasive is through the use of modern new operating environments at the 285 00:24:13,27 --> 00:24:17,24 new mills Peninsula Medical Center our new operating rooms offer the latest in 286 00:24:17,25 --> 00:24:22,42 surgical technology. What's so exciting about the new operating rooms at MIL's 287 00:24:22,43 --> 00:24:26,69 Peninsula Medical Center is something called an integrated operating room system 288 00:24:27,03 --> 00:24:28,82 before we used to really feel like we were in 289 00:24:28,83 --> 00:24:33,28 a box we were not connected to the outside world in any way now with high speed 290 00:24:33,29 --> 00:24:36,17 internet connection we can get test results lab X. 291 00:24:36,18 --> 00:24:40,78 Rays we can even talk and show images to the doctor in the next operating room or 292 00:24:40,79 --> 00:24:46,08 somewhere else in the world this connectivity is in extreme advance for our new 293 00:24:46,09 --> 00:24:48,26 hospital Follow me inside let's go take 294 00:24:48,27 --> 00:24:54,36 a look at what's in there. As you can see right off the bat it's 295 00:24:54,37 --> 00:24:58,56 a completely spacious room this is probably two times larger than most of the 296 00:24:58,57 --> 00:25:03,26 operating rooms I've ever operated in the equipment is State of the art high 297 00:25:03,27 --> 00:25:05,66 definition monitors better than any T.V. 298 00:25:05,67 --> 00:25:11,45 Set at home. You can see them scattered about the room brand new technology for 299 00:25:11,46 --> 00:25:17,98 lights overhead so you can see perfectly. And video monitors on the wall that allow 300 00:25:17,99 --> 00:25:22,55 conferencing to outside of the operating room so if you need to call another 301 00:25:22,56 --> 00:25:26,95 surgeon and get an opinion talk to the family member of the front desk everything 302 00:25:26,96 --> 00:25:31,06 is right here you don't have to scrub out this equipment is used for minimally 303 00:25:31,07 --> 00:25:36,64 invasive surgery it is suspended from the ceiling no on the role that the nursing 304 00:25:36,65 --> 00:25:41,01 staff have to roll carts of equipment in and out of operating rooms all. The 305 00:25:41,02 --> 00:25:45,27 operating rooms are equipped identically and that's going to make for incredibly 306 00:25:45,28 --> 00:25:50,34 efficient surgery less time under anesthesia and better patient outcomes this 307 00:25:50,35 --> 00:25:54,44 equipment will actually allow the surgeon to control the lights the insufficient 308 00:25:54,75 --> 00:25:59,22 and other technical details by voice commands rather than having to ask someone to 309 00:25:59,23 --> 00:26:00,64 push a button or turn 310 00:26:00,65 --> 00:26:07,37 a knob follow me this way. You can see the multiple monitors in the room. 311 00:26:08,52 --> 00:26:12,36 Normally we used to just having two television screens to operate with now we're 312 00:26:12,37 --> 00:26:18,40 having five and six. A few of the things I want to show you include the fact that 313 00:26:18,41 --> 00:26:23,09 we have equipment all mounted from the ceiling so that if we need another piece of 314 00:26:23,10 --> 00:26:27,11 equipment that has to be plugged in no longer do we have to run cords along the 315 00:26:27,12 --> 00:26:30,75 floor to we find an electric outlet everything will be off the floor creating 316 00:26:30,76 --> 00:26:34,90 a very safe working environment and if you come here this is looks like 317 00:26:34,91 --> 00:26:38,51 a standard light handle for moving the light around the operating room but it's 318 00:26:38,52 --> 00:26:44,81 actually a camera. And so if you want to communicate to the outside world there's 319 00:26:44,82 --> 00:26:48,34 a monitor right here that shows you my hand this would be where the patient is 320 00:26:48,35 --> 00:26:52,73 lying for surgery and if I run into something that I need advice on I might call 321 00:26:52,74 --> 00:26:56,40 one of my partners and say can you look at the screen what do you think this is is 322 00:26:56,41 --> 00:26:59,51 this a true or is this benign and I mean that's 323 00:27:00,05 --> 00:27:03,15 a whole new world in the operating room you can see why as 324 00:27:03,16 --> 00:27:07,06 a physician and surgeon at MIL's Peninsula Medical Center I am excited about our 325 00:27:07,07 --> 00:27:11,81 new operating rooms but if myself or one of my family members neighbors anyone I 326 00:27:11,82 --> 00:27:15,79 know in the community has to come to the operating room I can tell them that these 327 00:27:15,80 --> 00:27:20,27 technological improvements will speed their recovery will make time in the 328 00:27:20,28 --> 00:27:24,12 operating room blasts and they will be able to get back to their friends family and 329 00:27:24,13 --> 00:27:27,81 work faster than ever the average hospital stay for 330 00:27:27,82 --> 00:27:32,46 a patient undergoing weight loss surgery is one to two days at the new mills 331 00:27:32,47 --> 00:27:36,80 Peninsula Medical Center our patients enjoy all private rooms with outside or 332 00:27:36,81 --> 00:27:42,57 garden views one hundred percent fresh not recycle their. Family sleeping 333 00:27:42,58 --> 00:27:45,48 accommodations and healing trails and gardens. 334 00:27:57,39 --> 00:28:01,32 To learn more about the weight loss surgery program or the new medical center in 335 00:28:01,33 --> 00:28:06,35 Burlingame please visit us online thank you for joining us on this edition of 336 00:28:06,36 --> 00:28:08,47 Health point T.V. See you next time.